Permit II v CITY OF TIGARD BUILDING PERMIT
I ° COMMUNITY DEVELOPMENT PERMIT #: BUP2009 - 00008
DA TE ISSUED: 1/30/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1512600-00300
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: GAP KIDS /BABY GAP
Project Description: Add and relocate heads.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 152 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 7,596.00
Owner: Contractor:
WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC.
BY THE MACERICH COMPANY 9095 SW BURNHAM
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 684 - 2928
FAX 503 - 684 - 9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 12% State Surch 1/12/2009 $12.65
[FLS] FLS Pln Rv 1/12/2009 $42.16
[BUILD] Permit Fee 1/12/2009 $105.40
Total $160.21
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rule • direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. V
/
Issu- . By: , I ' / I/ ;/ 1 Permittee Signature ���
l
Call 503.639.4175 by 7:00 a.m. for an inspection tha business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
4 ,,. B d> <n � Petit Application —5 `"' �` � �
Fire Protection System RECEIVE ) ` FOR OFFICE USE ONLY
City of Tigard Received Permit JAN 122009 Date/Fi. •l2•o9 .,
111 ' 13125 SW Hall Blvd., Tigard, OR 97223 7I.
: • Phone: 503.639.4171 Fax: 503.598.1960 Plan Revie
Date/By: C � ` 1 0 � Other �ECZO� ,, �67�
TIGARD Inspection Line: 503 639 4175 CITY OFT1G 'ate Ready/By: 3uru 0 See Page 2 for
Internet: www.tigard- or.gov GDIVISIS otified/Method: 1 • . .O�(' l 1 Supplemental Information
BUILDIN
fc „L.,/ nom .
TYPE'OF WORK - .. .: ., `REQL1_ : D,DATA:'I - 2- FAi1�IILY� ,
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
- , "' ?CATEGORY :OF, ` : g° work indicated on this application.
�,. Valuation: $
❑ 1 - and 2- family dwelling VrCommercial/industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder a L 3 L ( 8 ❑ Other: Number of bathrooms:
- .JOB SITE INFORMATION AND 'LOCATION - Total number of floors:
Job site address: S v i z C � � y Cj - Qa _ New dwelling area: square feet
City/State/ZIP..�� D e ll �`1V ��l Garage/carport area: square feet
Suite/bldg. /apt. no.: ( (I project name: �/ - Y ""v _'p , ; a Covered porch area: square feet
Cross street/directions to job site: !`jf�� �� Deck area: square feet
Other structure area: square feet
'-;' REQUIRED' DATA:, COMMERCIAL` =USE'CHECKLIST -
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
- - DESCRIPTION OF 'WORK: ' work indicated on this application.
4/I / re /d CA . ( j P' '711 l P.,i Valuation: $ /"7/ 576'
as re u r `1W Te, t . l p v - Existing building area: square feet
U New building area: square feet
.R1 ,PROPERTYFOWNER h . , ` it TENAN T ' - Number of stories:
Name: Tpp AA. kcj 1 ro-lt, ri '� �j/ L L C_ Type of construction:
Address: lQ} Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
-,;[APPLICANT _ - .0 CONTACT PERSON - . -. ' - . NOTICE. _ , , - .
Business name: cce c_ (4 , 4 �4y, C l� 4 All contractors and subcontractors are required to be '
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax:: ( )
E -mail:
0
. ' y CONITRACTOR" .� - ; _ BUILDINGYERMIT:FEESt - '.t:;
Business name: `� � re , Pfc. o
oo� �` +'° (P.kd °
Permit fee: � '�
Address: 0 95 .... SSi() "Su rn ha rv\
/ State/ZIP: c1-7 State surcharge (12% of permit fee): / 2 6 r
Ci
ty d / o _ 2 ' Z 3 FLS plan review (40% of permit fee): lc,
�'
Phone: 6 / 2 q a t y Fax: (� t y(`— e3 6 5 °7 ( D u e u p o n application.) g 2 C C B lic.: /_, Lib r 1 7 O Total permit fees: / ( 7 2-- ( I
Cf/ � ( D 6 - 2
Authorized signature:
Amount received: I
i n T his permit application expires if a permit is not obtained
Print name. r Ef,(a C �../�� Date: / --/ Z -67 within 180 days after it has been accepted as complete.
f * Fee methodology set by Tn -County Building Industry
Service Board.
I \Building'.Permits\FPS- PermItApp doc 03/23/06 440 -4613T(11 /07JCOM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Desc ribe
, wol t bedone -'
1.) 40 New 2.) Modification to sprinkler heads only:
n Addition 1=1 1-10 heads: No plan review required.
P Alteration 111 11+ heads: Plan review required.
1=1 Repair
Number of sprinkler heads:
Additional description of work:
Tpe,of:,,S)isiegi.-(CO*Olete A, kie;:0,0,
A.) Commercial Sprmkkr 4
Wet 111 Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 7 5G,9, 00
Hood Project Valuation:
— °- •
Submittal shall Battery Calculations 1=1 Yes
include: Individual Component 1=1 Yes
Cut Sheets
Fire Alarm Project Valuation: $
f,
tC)7
- •
Square Footage: Permit Fee:
0 to 2000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Project valuation subtotal (see A, B & C above): $ "La cbc
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
http //www.a.tigard.onus/city_hall/departrnents/cd/docs/FPS-PermitApp doc 2
. _
CITY OF TIGARD r BUILDING DIVISION /�jS PERMIT #: P2009- 0000f3
13125 SW Hall Blvd., Tigard, OR 97223 V ZT RU
DATE ISSUED: 1/30000
Phone: (503) 639 -4171 D
Inspection Requests (24 Hrs.): (503) 639 -4175 , I ` / 0/ S
INSPECTION WORKSHEET FOR DATE: 2J1012009 TIME: 7i00AM PAGE: 23
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GAP KIDS /BABY GAP
DESCRIPTION: Add and relocate head..
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 603-6B4-2928
Inspection Request Scheduled For: Date: 7118/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinldrr rough -in /test 080593-01 503.-61f.4-6623 N
Corrections /Comments /Instructions:
e PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: a/ 1 0 ` Phone #: (503) 718- c!--c(2-<-1